Osteoarthritis (OA) is a joint disease caused by "wear and tear." In OA, cartilage breaks down and wears away. As a result, the bones rub together, causing pain, swelling, and stiffness.
OA is by far the most common cause of hip arthritis. However, other types of arthritis may cause hip pain.
Rheumatoid arthritis (RA) is a long-term disease that causes inflammation of the joints and surrounding tissues. It can create severe joint damage and affect other organs.
The cause of RA is unknown. It is an autoimmune disease. The body's immune system normally fights off foreign substances, like viruses. But in an autoimmune disease, the immune system confuses healthy tissue for foreign substances. As a result, the body attacks itself.
RA can occur at any age. Women have it more often than men.
RA usually affects joints on both sides of the body equally. It often happens in wrists, fingers, knees, feet, and ankles. The course and the severity of the illness can vary. Infection, genetic make-up, and hormones may contribute to the disease. RA can be managed well now with medicines, however, some people may not respond to treatment and will require surgical treatment.
Reactive arthritis is a group of inflammatory conditions that may involve the joints, eyes, genitals, and urinary system. There may also be sores (lesions) on the skin and mucous membranes.
The exact cause of reactive arthritis is unknown. It happens most commonly in men before the age of 40. It may follow a bacterial infection. A certain genetic makeup may make you more prone to this syndrome.
Reactive arthritis is rare in younger children, but may occur in adolescents.
Urinary symptoms usually appear within days or weeks of an infection. Low-grade fever, inflammation of the conjunctiva of the eye (conjunctivitis), and arthritis develop over the next several weeks.
Reactive arthritis may go away in a few weeks, but it can last for a few months and up to a year. Symptoms may return over a period of years in up to half of the people who have this condition.
Severe damage is unusual.
Psoriatic arthritis is a condition that is often associated with psoriasis of the skin. The arthritis may be mild and occur in only a few joints, mainly those at the end of the fingers or toes. In some people, the disease may be severe and affect many joints, including the spine. When psoriatic arthritis occurs in the spine, the symptoms are stiffness, burning, and pain, most often in the lower spine and sacrum.
People who also have arthritis usually have the skin and nail changes that occur in psoriasis. Often, your skin will get worse at the same time as your arthritis.
Septic arthritis (or infection in the hip joint) is inflammation of a joint due to an infection. Septic arthritis develops when bacteria spread through the bloodstream to a joint. It may also occur when the joint is directly infected with bacteria by an injury or during surgery. The most common sites for this type of infection are the knee and hip.
People with artificial hip joints are also at risk for bacterial infections. Symptoms may be:
Bennell KL, Buchbinder R, Hinman RS. Physical therapies in the management of osteoarthritis: current state of the evidence. Curr Opin Rheumatol. 2015;27(3):304-311. PMID: 25775185 www.ncbi.nlm.nih.gov/pubmed/25775185.
Bennell KL, Egerton T, Martin J, et al. Effect of physical therapy on pain and function in patients with hip osteoarthritis: a randomized clinical trial. JAMA. 2014;311(19):1987-1997. PMID: 24846036 www.ncbi.nlm.nih.gov/pubmed/24846036.
Cameron M, Chrubasik S. Oral herbal therapies for treating osteoarthritis. Cochrane Database Syst Rev. 2014;5:CD002947. PMID: 24848732 www.ncbi.nlm.nih.gov/pubmed/24848732.
Cibulka MT, Bloom NJ, Enseki KR, Macdonald CW, Woehrle J, McDonough CM. Hip pain and mobility deficits-hip osteoarthritis: revision 2017. J Orthop Sports Phys Ther. 2017;47(6):A1-A37. PMID: 28566053 www.ncbi.nlm.nih.gov/pubmed/28566053.
Clarke A, Pulikottil-Jacob R, Grove A, et al. Total hip replacement and surface replacement for the treatment of pain and disability resulting from end-stage arthritis of the hip (review of technology appraisal guidance 2 and 44): systematic review and economic evaluation. Health Technol Assess. 2015;19(10):1-668. PMID: 25634033 www.ncbi.nlm.nih.gov/pubmed/25634033.
Doroshow JH. Malignant tumors of bone, sarcomas, and other soft tissue neoplasms. In: Goldman L, Shafer AI, eds. Goldman-Cecil Medicine. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 202.
Goodnough LT, Monk TG. Patient Blood Management. In: Miller RD, Cohen NH, Eriksson LI, Fleisher LA, Wiener-Kronish JP, Young WL, eds. Miller's Anesthesia. 8th ed. Philadelphia, PA: Elsevier Saunders; 2015:chap 57.
Harkess JW, Crockarell JR. Arthroplasty of the hip. In: Azar FM, Beatty JH, Canale ST, eds. Campbell's Operative Orthopaedics. 13th ed. Philadelphia, PA: Elsevier; 2017:chap 3.
Hayashi J, Leff B. Home care. In: Ham RJ, Sloane PD, Warshaw GA, Potter JF, Flaherty E, eds. Ham's Primary Care Geriatrics. 6th ed. Philadelphia, PA: Elsevier Saunders; 2014:chap 12.
Hochberg MC, Altman RD, April KT, et al. American College of Rheumatology 2012 recommendations for the use of nonpharmacologic and pharmacologictherapies in osteoarthritis of the hand, hip, and knee. Arthritis Care Res (Hoboken). 2012;64(4):465-467. PMID: 22563589 www.ncbi.nlm.nih.gov/pubmed/22563589.
Huddleston JI, Goodman S. Hip and knee pain. Firestein GS, Budd RC, Gabriel SE, McInnes IB, O’Dell JR. Kelley and Firestein’s Textbook of Rheumatology. 10th ed. Philadelphia, PA: Elsevier; 2017:chap 48.
Lavelle DG. Hip resurfacing. In: Azar FM, Beaty JH, Canale ST, eds. Campbell's Operative Orthopaedics. 13th ed. Philadelphia, PA: Elsevier; 2017:chap 4.
Leong M, Murphy KD, Phillips LG. Wound healing. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 20th ed. Philadelphia, PA: Elsevier; 2017 chap 6.
Lieberman JR, Engstrom SM, Solovyova O, Au C, Grady JJ. Is intra-articular hyaluronic acid effective in treating osteoarthritis of the hip joint? J Arthroplasty. 2015;30(3):507-511. PMID: 25542833 www.ncbi.nlm.nih.gov/pubmed/25542833.
Lowe CJ, Davies L, Sackley CM, Barker KL. Effectiveness of land-based physiotherapy exercise following hospital discharge following hip arthroplasty for osteoarthritis: an updated systematic review. Physiotherapy. 2015;101(3):252-265. PMID: 25724323 www.ncbi.nlm.nih.gov/pubmed/25724323.
Manyanga T, Froese M, Zarychanski R, et al. Pain management with acupuncture in osteoarthritis: a systematic review and meta-analysis. BMC Complement Altern Med. 2014;14:312. PMID: 25151529 www.ncbi.nlm.nih.gov/pubmed/25151529.
Matteson EL, Osmon DR. Infections of bursae, joints, and bones. In: Goldman L, Shafer AI, eds. Goldman-Cecil Medicine. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 272.
Percope de Andrade MA, Campos TV, Abreu-E-Silva GM. Supplementary methods in the nonsurgical treatment of osteoarthritis. Arthroscopy. 2015;31(4):785-792. PMID: 25633815 www.ncbi.nlm.nih.gov/pubmed/25633815.
Schnitzer TJ, Marks JA. A systematic review of the efficacy and general safety of antibodies to NGF in the treatment of OA of the hip or knee. Osteoarthritis Cartilage. 2015;23 Suppl 1:S8-S17. PMID: 25527221 www.ncbi.nlm.nih.gov/pubmed/25527221.
Sershon R, Balkissoon R, Valle CJ. Current indications for hip resurfacing arthroplasty in 2016. Curr Rev Musculoskelet Med. 2016;9(1):84-92. PMID: 26830851 www.ncbi.nlm.nih.gov/pubmed/26830851.
Svege I, Nordsletten L, Fernandes L, Risberg MA. Exercise therapy may postpone total hip replacement surgery in patients with hip osteoarthritis: a long-term follow-up of a randomised trial. Ann Rheum Dis. 2015;74(1):164-169. PMID: 24255546 www.ncbi.nlm.nih.gov/pubmed/24255546.
U.S. Food and Drug Administration. U.S. Department of Health and Human Services. Blood and blood products. www.fda.gov/BiologicsBloodVaccines/BloodBloodProducts/default.htm. Updated February 2, 2018. Accessed November 13, 2018.
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